Pike KC, et al. - The concerns associated with the management of problematic severe asthma in children and young people were appraised in this research. It was deduced that the investigation and management of genuine severe asthma warranted specialist multidisciplinary expertise and a systematic approach. This would characterize the patients’ asthma phenotypes and would deliver individualised care. Though inhaled corticosteroids continued to play a leading role in asthma therapy, new therapies on the horizon could additional support phenotype-specific therapy.

• A small proportion of children reported genuinely with severe asthma symptoms, that were difficult to control.
• Such children required investigations and treatments beyond those described within conventional guidelines.
• Maximum children with poor symptom control despite high-intensity treatment attained an improvement in their asthma control once focus was laid on the basics of asthma management.
• Basic asthma management warranted the optimisation of inhaler technique and treatment adherence, avoidance of environmental triggers and self-management education.
• Hence, clinicians ought to identify the risk factors that predispose patients to asthma exacerbations and potentially life-threatening attacks.
• These correctable concerns needed tackling in partnership with children and young people and their families.
• This, in turn, gave rise to a coordinated approach between professionals across healthcare settings.
• An advantage could be gained via the establishment of appropriate infrastructure for coordinated asthma care for those with problematic severe asthma and the wider asthma population, due to the existence of similar correctable issues for children with asthma of all severities.